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17 pages, 448 KB  
Article
Migration, Corruption, and Economic Drivers: Institutional Insights from the Balkan Route
by Bojan Baškot, Ognjen Erić, Dalibor Tomaš and Bogdan Ubiparipović
World 2025, 6(4), 147; https://doi.org/10.3390/world6040147 (registering DOI) - 1 Nov 2025
Abstract
This study investigates factors influencing migrants’ decisions to enter Europe via Bulgaria or Greece along the Balkan route, using logistic regression and machine learning models on data from the International Organization for Migration (IOM) Flow Monitoring Survey (August 2022–June 2025, n=5536 [...] Read more.
This study investigates factors influencing migrants’ decisions to enter Europe via Bulgaria or Greece along the Balkan route, using logistic regression and machine learning models on data from the International Organization for Migration (IOM) Flow Monitoring Survey (August 2022–June 2025, n=5536). We examine demographic variables (age), push factors (economic reasons, war/conflict, personal violence, limited access to services, and avoiding military service), and governance clusters derived from the World Bank’s Worldwide Governance Indicators (WGIs). An adapted migration gravity model incorporates corruption control as a key push–pull factor. Key findings indicate that younger migrants are significantly more likely to choose Bulgaria (β0.021, p<0.001), and governance clusters show that migrants from high-corruption origins (e.g., Syria and Afghanistan) prefer Bulgaria, likely due to governance similarities and facilitation costs. The Cluster Model achieves a slight improvement in fit (McFadden’s R2=0.008, AIC = 7367) compared to the Base (AIC = 7374) and Interaction (AIC = 7391) models. Machine learning extensions using LASSO and Random Forests on a subset of data (n=4429) yield similar moderate performance (AUC: LASSO = 0.524, RF = 0.515). These insights highlight corruption’s role in route selection, offering policy recommendations for origin, transit, and destination phases. Full article
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34 pages, 5251 KB  
Article
AI-Based Sentiment Analysis of E-Commerce Customer Feedback: A Bilingual Parallel Study on the Fast Food Industry in Turkish and English
by Esra Kahya Özyirmidokuz, Bengisu Molu Elmas and Eduard Alexandru Stoica
J. Theor. Appl. Electron. Commer. Res. 2025, 20(4), 294; https://doi.org/10.3390/jtaer20040294 (registering DOI) - 1 Nov 2025
Abstract
Across digital platforms, large-scale assessment of customer sentiment has become integral to brand management, service recovery, and data-driven marketing in e-commerce. Still, most studies center on single-language settings, with bilingual and culturally diverse environments receiving comparatively limited attention. In this study, a bilingual [...] Read more.
Across digital platforms, large-scale assessment of customer sentiment has become integral to brand management, service recovery, and data-driven marketing in e-commerce. Still, most studies center on single-language settings, with bilingual and culturally diverse environments receiving comparatively limited attention. In this study, a bilingual sentiment analysis of consumer feedback on X (formerly Twitter) was conducted for three global quick-service restaurant (QSR) brands—McDonald’s, Burger King, and KFC—using 145,550 English tweets and 15,537 Turkish tweets. After pre-processing and leakage-safe augmentation for low-resource Turkish data, both traditional machine learning models (Naïve Bayes, Support Vector Machines, Logistic Regression, Random Forest) and a transformer-based deep learning model, BERT (Bidirectional Encoder Representations from Transformers), were evaluated. BERT achieved the highest performance (macro-F1 ≈ 0.88 in Turkish; ≈0.39 in temporally split English), while Random Forest emerged as the strongest ML baseline. An apparent discrepancy was observed between pseudo-label agreement (Accuracy > 0.95) and human-label accuracy (EN: 0.75; TR: 0.49), indicating the limitations of lexicon-derived labels and the necessity of human validation. Beyond methodological benchmarking, linguistic contrasts were identified: English tweets were more polarized (positive/negative), whereas Turkish tweets were overwhelmingly neutral. These differences reflect cultural patterns of online expression and suggest direct managerial implications. The findings indicate that bilingual sentiment analysis yields brand-level insights that can inform strategic and operational decisions. Full article
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23 pages, 1698 KB  
Article
Aqueous Extract of Limnospira platensis Provides Protection Against Microcystin-Induced Oxidative Stress in Hydroponic Culture of Radish (Raphanus sativus)
by Mohammed Haida, Badr Ezzyky, Zineb Hakkoum, Richard Mugani, Yasser Essadki, Fatima El Khalloufi, Abdelmajid Haddioui, Mohamed Loukid, Brahim Oudra and Noureddine Bouaïcha
J. Xenobiot. 2025, 15(6), 182; https://doi.org/10.3390/jox15060182 (registering DOI) - 1 Nov 2025
Abstract
The eutrophication of aquatic ecosystems often triggers the excessive growth of cyanobacteria, many of which release toxic metabolites such as microcystins (MCs). When irrigation water is contaminated by these compounds, adverse consequences may arise for plants as well as for animal and human [...] Read more.
The eutrophication of aquatic ecosystems often triggers the excessive growth of cyanobacteria, many of which release toxic metabolites such as microcystins (MCs). When irrigation water is contaminated by these compounds, adverse consequences may arise for plants as well as for animal and human health. In contrast, certain non-toxic cyanobacterial species like Limnospira platensis are increasingly regarded as valuable tools for sustainable agriculture, given their ability to enhance plant nutrition, growth, yield, and stress tolerance while also mitigating the detrimental impacts of MCs. The present work aimed to investigate the potential of L. platensis extract to enhance growth, physiological responses, and tolerance of radish (Raphanus sativus) plants stressed with Microcystis aeruginosa extract containing microcystins. Experiments were conducted in a hydroponic system under controlled environmental conditions, where radish seedlings were cultivated in perlite and exposed for 45 days to M. aeruginosa extract (10 and 40 µg/L of MCs) and L. platensis extract (0.1 and 1 g/L), applied either separately or in combination. The results showed that the application of L. platensis extract, especially at 1 g/L in combination with 40 µg/L of MCs, decreased the bioaccumulation of MCs from 8.81 to 5.35 µg/kg FW in the leaves and from 14.64 to 10.15 µg/kg FW in the taproots. In addition, it significantly stimulated radish growth and improved several biochemical parameters. In contrast, exposure to MCs at 10 and 40 µg/L negatively affected growth, chlorophyll pigments and protein contents while promoting the accumulation of malondialdehyde (MDA), polyphenols and sugars. The activities of peroxidase (POD), superoxide dismutase (SOD), and catalase (CAT) were also increased under MCs stress, suggesting activation of the antioxidant defense system in response to oxidative damage. Combinations of MCs with L. platensis extract, especially at 1 g/L, improved antioxidant enzyme activities by significantly reducing MDA levels, biometric parameters, chlorophyll pigment, and protein and sugar contents. These results indicate that the application of L. platensis extract as a biostimulant can improve radish development, growth, and tolerance to MC-induced stress. Full article
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19 pages, 4672 KB  
Article
A Ternary Spinel Strategy for Increasing the Performances of Oxygen Reduction Reaction and Anion Exchange Membrane Fuel Cell Based on Mn-Co Spinel Oxides
by Weitao Jin, Ruiqing Song, Jiansong Yuan, Hengxi Pang, Wen Zong, Xiao Zhang and Juan Zhou
Catalysts 2025, 15(11), 1031; https://doi.org/10.3390/catal15111031 (registering DOI) - 1 Nov 2025
Abstract
Anion exchange membrane fuel cells (AEMFCs) represent a promising class of clean energy devices, with their performance being critically dependent on the efficiency of the cathode oxygen reduction reaction (ORR) catalyst. Manganese-cobalt spinel (Mn1.5Co1.5O4, MCS) has been [...] Read more.
Anion exchange membrane fuel cells (AEMFCs) represent a promising class of clean energy devices, with their performance being critically dependent on the efficiency of the cathode oxygen reduction reaction (ORR) catalyst. Manganese-cobalt spinel (Mn1.5Co1.5O4, MCS) has been demonstrated to be a highly active ORR catalyst. Herein, we report a strategy of incorporating Cu (MCCS) and Fe (MCFS) into MCS to form ternary spinel oxides for tuning ORR activity. Among them, MCS exhibits the best ORR performance, with a half-wave potential (E1/2) of 0.736 V vs. RHE in 0.1 M KOH and a peak power density (PPD) of 248.3 mW·cm−2 for the fuel cell test. In contrast, MCCS and MCFS show divergent behaviors in a rotating disk-ring electrode (RRDE) and fuel cell tests. X-ray diffraction (XRD) analyses and X-ray photoelectron spectroscopy (XPS) analyses reveal that the introduction of Cu2+ and Fe3+ induces a phase transformation in the spinel structure, leading to a reduction in oxygen vacancies and an increase in the valence state of Mn, thereby degrading catalytic activity. However, the incorporation of these elements also modulates the hydration capability of the catalysts, which is critical for the ion and charge transfer in the fuel cell environment and has been validated in the distribution of relaxation time (DRT) analysis of the fuel cell test. This study provides a valuable strategy for designing and synthesizing low-cost, highly efficient, and stable ternary spinel electrocatalysts for AEMFC applications, and bridges the gap between RRDE evaluation and fuel cell testing through DRT analysis. Full article
(This article belongs to the Special Issue Metal Oxide-Supported Catalysts)
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22 pages, 1722 KB  
Article
A Hierarchical Framework and Marginal Return Optimization for Dynamic Task Allocation in Heterogeneous UAV Networks
by Anxin Guo, Zhenxing Zhang, Ao Wu, Qi Li, Leyan Li and Rennong Yang
Sensors 2025, 25(21), 6676; https://doi.org/10.3390/s25216676 (registering DOI) - 1 Nov 2025
Abstract
The coordination of heterogeneous Unmanned Aerial Vehicles (UAVs) for complex, multi-stage tasks presents a significant challenge in robotics and autonomous systems. Traditional linear models often fail to capture the emergent synergistic effects and dynamic nature of multi-agent collaboration. To address these limitations, this [...] Read more.
The coordination of heterogeneous Unmanned Aerial Vehicles (UAVs) for complex, multi-stage tasks presents a significant challenge in robotics and autonomous systems. Traditional linear models often fail to capture the emergent synergistic effects and dynamic nature of multi-agent collaboration. To address these limitations, this paper proposes a novel hierarchical framework based on a Mission Chain (MC) concept. We systematically define and model key elements of multi-agent collaboration, including Mission Chains (MCs), Execution Paths (EPs), Task Networks (TNs), and Solution Spaces (SSs), creating an integrated theoretical structure. Based on this framework, we formulate the problem as a Sensor–Effector–Target Assignment challenge and propose a Marginal Return-Based Heuristic Algorithm (MRBHA) for efficient dynamic task allocation. Simulations demonstrate that our proposed MRBHA achieves a substantially higher total expected mission value—outperforming standard greedy and random assignment strategies by 14% and 77%, respectively. This validates the framework’s ability to effectively capitalize on synergistic opportunities within the UAV network. The proposed system provides a robust and scalable solution for managing complex missions in dynamic environments, with potential applications in search-and-rescue, environmental monitoring, and intelligent logistics. Full article
(This article belongs to the Section Sensor Networks)
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26 pages, 1663 KB  
Article
A Multi-Analytical Study of Nanolignin/Methylcellulose-Coated Groundwood and Cotton Linter Model Papers
by Mia Bloss, Marianne Odlyha and Charis Theodorakopoulos
Polymers 2025, 17(21), 2934; https://doi.org/10.3390/polym17212934 (registering DOI) - 31 Oct 2025
Abstract
This paper presents the synthesis of sustainable lignin nanoparticles (LNPs) and their application in methylcellulose (MC) as LNP/MC coatings for handmade papers. LNPs were produced from bulk kraft lignin via an acetone/water and sonication method, then incorporated into a 1 wt% methylcellulose (MC) [...] Read more.
This paper presents the synthesis of sustainable lignin nanoparticles (LNPs) and their application in methylcellulose (MC) as LNP/MC coatings for handmade papers. LNPs were produced from bulk kraft lignin via an acetone/water and sonication method, then incorporated into a 1 wt% methylcellulose (MC) matrix at concentrations of 0.4, 1, and 2 wt%. Groundwood and cotton linter papers were coated and exposed to 90 °C and 45% relative humidity (RH) for 16 days and the samples’ response to ageing at different concentrations of nanolignin was tested using a multi-analytical approach. The morphology of the LNPs was revealed with scanning electron microscopy, and most LNPs measured below a diameter of 30.8 nm. Colourimetry showed coated samples were inherently darker than uncoated samples but mostly stable in colour. pH remained near neutral for coated groundwood papers during ageing, but cotton papers were consistently acidic. Fourier transform infrared (FTIR) spectroscopy identified spectral similarities between uncoated and coated groundwood samples at approximately 1635 cm–1 and 1725 cm–1, attributed to carbonyl and carboxyl groups, suggesting that LNPs did not contribute to the formation of these groups during ageing. Controlled environment dynamic mechanical analysis (DMA-RH) found improved consolidation and lower elongation in most LNP/MC-treated samples. These results indicate that there may be potential for LNPs within paper conservation. Full article
(This article belongs to the Special Issue Advanced Study on Lignin-Containing Composites)
14 pages, 4263 KB  
Article
Automated Imaging and Analysis of Platelet, Coagulation and Fibrinolysis Activities Using a Novel Flow Chip-Based System at Physiological Temperature
by Xiang Gui, Bibian M. E. Tullemans, Bas de Laat, Johan W. M. Heemskerk and Frauke Swieringa
Micromachines 2025, 16(11), 1253; https://doi.org/10.3390/mi16111253 (registering DOI) - 31 Oct 2025
Abstract
Conventional whole-blood flow assays for quantifying thrombus formation are typically performed at room temperature and are technically demanding, which limits their translational applicability. We engineered a novel, disposable, mountable, and single-channel microfluidic chip (MC-2S), which is based on the Maastricht chamber (MC) and [...] Read more.
Conventional whole-blood flow assays for quantifying thrombus formation are typically performed at room temperature and are technically demanding, which limits their translational applicability. We engineered a novel, disposable, mountable, and single-channel microfluidic chip (MC-2S), which is based on the Maastricht chamber (MC) and designed for automated evaluation of platelet function, coagulation and fibrinolysis under physiological conditions. The MC-2S chip allows customizable choices of thrombogenic surfaces, such as collagen and tissue factor. The chip was used in combination with an adapted, 1.3 kg brightfield/fluorescence microscope, operating at physiological temperature (37 °C), and with scripts for automated multicolor analysis of image features. The integrated system enables a robust, rapid, and high-content quantification of the kinetics of thrombus formation and dissolution. In platelet-sensitive mode, MC-2S demonstrated high sensitivity to antiplatelet therapy with aspirin or cangrelor. In coagulation-sensitive mode, it detected the anticoagulant effect of rivaroxaban plus its reversal by andexanet-α. In fibrinolysis-sensitive mode, it monitored tissue-type plasminogen activator-induced thrombus dissolution, inhibited by tranexamic acid. Collectively, the MC-2S platform was found to provide a versatile, physiologically relevant tool for functional hemostasis testing, with high potential for the acute and subacute evaluation of patient blood samples in the context of bleeding disorders, thrombosis risk, and drug monitoring. Full article
(This article belongs to the Section B4: Point-of-Care Devices)
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31 pages, 2330 KB  
Perspective
Alzheimer Syndrome or Age-Related Dementia—History, Therapy and Prevention
by Félix Bermejo-Pareja and Teodoro del Ser
J. Clin. Med. 2025, 14(21), 7752; https://doi.org/10.3390/jcm14217752 (registering DOI) - 31 Oct 2025
Abstract
This narrative review of Alzheimer’s disease (AD) history, therapy and prevention shows that its conceptualization has changed three times over 100 years. First, AD was a normative creation by Kraepelin in 1910 of a rare presenile dementia characterized by specific histological features. Second, [...] Read more.
This narrative review of Alzheimer’s disease (AD) history, therapy and prevention shows that its conceptualization has changed three times over 100 years. First, AD was a normative creation by Kraepelin in 1910 of a rare presenile dementia characterized by specific histological features. Second, during the 1970s, American neurologists, driven by sociological changes, merged presenile and senile dementias into an Alzheimer-type dementia with the universally accepted clinicopathological diagnostic criteria of McKhann. By the end of the 20th century, AD was divided into early-onset genetic (1%) and late-onset sporadic (99%) forms. In the 21st century, AD was redefined as a biological entity, using biological and neuroimaging markers of amyloid, tau and neurodegeneration, to better address research and clinical trials. This new nosology has been widely criticized, given the absence of curative therapy, the evidence of mixed pathology in most cases and the decline in the dementia/AD incidence in high-income countries. However, there are currently many drugs against AD in the pipeline; prevention appears as medical and social therapy. In summary, the ancient concept of age-related dementia has evolved into AD normative disorders over 100 years. Nowadays, AD requires a conceptual reassessment, although its medical paradigm remains. Awaiting pharmacological breakthroughs, dementia prevention seems the best practical approach. Full article
(This article belongs to the Section Clinical Neurology)
19 pages, 1119 KB  
Review
Percutaneous Mechanical Circulatory Support Devices in Cardiogenic Shock: A Narrative Review in Light of Recent Evidence
by Vincenzo Paragliola, Marco Gamardella, Luca Franchin, Maurizio Bertaina, Francesco Colombo, Paola Zanini, Salvatore Colangelo, Pierluigi Sbarra, Giacomo Boccuzzi and Mario Iannaccone
J. Clin. Med. 2025, 14(21), 7731; https://doi.org/10.3390/jcm14217731 - 30 Oct 2025
Abstract
Cardiogenic shock (CS) is a complex, life-threatening syndrome characterized by inadequate tissue perfusion due to impaired cardiac function. Acute myocardial infarction (AMI) and acute decompensated heart failure are the leading causes, with mortality remaining high despite advances in revascularization and supportive care. The [...] Read more.
Cardiogenic shock (CS) is a complex, life-threatening syndrome characterized by inadequate tissue perfusion due to impaired cardiac function. Acute myocardial infarction (AMI) and acute decompensated heart failure are the leading causes, with mortality remaining high despite advances in revascularization and supportive care. The Society for Cardiovascular Angiography and Interventions (SCAI) classification allows risk stratification and guides clinical decision making by capturing the spectrum of shock severity. Percutaneous mechanical circulatory support (pMCS) devices, such as the intra-aortic balloon pump (IABP) and Impella, aim to stabilize hemodynamics by augmenting cardiac output and unloading the left ventricle. However, randomized trials and meta-analyses have not demonstrated a consistent survival advantage of Impella over IABP, while reporting higher rates of bleeding and vascular complications. Landmark trials, including ECLS-SHOCK and DanGer, have provided conflicting results, likely reflecting differences in baseline severity and timing of device implantation. Veno-arterial extracorporeal membrane oxygenator (VA-ECMO) offers full cardiopulmonary support but increases left ventricular afterload, potentially worsening myocardial injury. Combined strategies such as ECPELLA (Impella + VA-ECMO) or ECMO + IABP may mitigate left ventricle (LV) overload and improve bridging to recovery or advanced therapies, although evidence remains largely observational and complication rates are considerable. In right-sided or biventricular failure, tailored options (e.g., Impella RP, Bi-Pella) guided by invasive hemodynamics may be required. Current evidence suggests that pMCS benefits are limited to carefully selected subgroups, underscoring the importance of early diagnosis, prompt referral, and individualized intervention. Robust randomized data are still needed to define the optimal role of pMCS in AMI-related CS. Full article
(This article belongs to the Special Issue Acute Myocardial Infarction: Diagnosis, Treatment, and Rehabilitation)
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18 pages, 3632 KB  
Article
Rapeseed Yield Estimation Using UAV-LiDAR and an Improved 3D Reconstruction Method
by Na Li, Zhiwei Hou, Haiyong Jiang, Chongchong Chen, Chao Yang, Yanan Sun, Lei Yang, Tianyu Zhou, Jingyu Chu, Qingzhe Fan and Lijie Zhang
Agriculture 2025, 15(21), 2265; https://doi.org/10.3390/agriculture15212265 - 30 Oct 2025
Abstract
Quantitative estimation of rapeseed yield is important for precision crop management and sustainable agricultural development. Traditional manual measurements are inefficient and destructive, making them unsuitable for large-scale applications. This study proposes a canopy-volume estimation and yield-modeling framework based on unmanned aerial vehicle light [...] Read more.
Quantitative estimation of rapeseed yield is important for precision crop management and sustainable agricultural development. Traditional manual measurements are inefficient and destructive, making them unsuitable for large-scale applications. This study proposes a canopy-volume estimation and yield-modeling framework based on unmanned aerial vehicle light detection and ranging (UAV-LiDAR) data combined with a HybridMC-Poisson reconstruction algorithm. At the early yellow ripening stage, 20 rapeseed plants were reconstructed in 3D, and field data from 60 quadrats were used to establish a regression relationship between plant volume and yield. The results indicate that the proposed method achieves stable volume reconstruction under complex canopy conditions and yields a volume–yield regression model. When applied at the field scale, the model produced predictions with a relative error of approximately 12% compared with observed yields, within an acceptable range for remote sensing–based yield estimation. These findings support the feasibility of UAV-LiDAR–based volumetric modeling for rapeseed yield estimation and help bridge the scale from individual plants to entire fields. The proposed method provides a reference for large-scale phenotypic data acquisition and field-level yield management. Full article
(This article belongs to the Section Artificial Intelligence and Digital Agriculture)
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16 pages, 6737 KB  
Article
Molecular Characterization of Hypothalamic–Pituitary–Ovarian Axis Regulation in the Manchurian Zokor (Myospalax psilurus) During Seasonal Estrus
by Rile Nai, Xueru Li, Dan Shan, Saru Bao, Fei Wang, Yuerong Lin, Yan Zhang, Buqin Hu, Yuchun Xie and Duhu Man
Genes 2025, 16(11), 1289; https://doi.org/10.3390/genes16111289 - 30 Oct 2025
Viewed by 44
Abstract
Background/Objectives: Seasonal reproduction in mammals is primarily regulated by the hypothalamic–pituitary–ovarian (HPO) axis, yet its molecular mechanisms in subterranean rodents living in light-restricted environments remain poorly understood. This study aimed to characterize the transcriptional regulation of the HPO axis during seasonal estrus in [...] Read more.
Background/Objectives: Seasonal reproduction in mammals is primarily regulated by the hypothalamic–pituitary–ovarian (HPO) axis, yet its molecular mechanisms in subterranean rodents living in light-restricted environments remain poorly understood. This study aimed to characterize the transcriptional regulation of the HPO axis during seasonal estrus in the Manchurian zokor (Myospalax psilurus, M. psilurus), a fossorial rodent exhibiting distinct breeding cycles despite perpetual darkness. Methods: Hypothalamic, pituitary, and ovarian tissues were collected from female zokors during estrus and anestrus (n = 5 per group). RNA sequencing was performed, followed by de novo transcriptome assembly and bioinformatic analyses. Differentially expressed genes (DEGs) were identified using edgeR, and functional enrichment was assessed via GO and KEGG analyses. Key DEGs were validated by RT-qPCR. Results: A total of 513, 292, and 138 DEGs were identified in the hypothalamus, pituitary, and ovary, respectively. GO analysis highlighted enrichment in G-protein-coupled receptor signaling, oxidation–reduction processes, and calcium ion binding. KEGG pathway analysis revealed significant enrichment of the neuroactive ligand–receptor interaction pathway across all three tissues. Key candidate genes included Trh and Mc3r in the hypothalamus, Pitx2 and NR4A2 in the pituitary, and PTGER2 and Sphk1 in the ovary. Conclusions: This study provides the first comprehensive transcriptomic profile of the HPO axis in Manchurian zokors during seasonal estrus. The neuroactive ligand–receptor interaction pathway appears central to reproductive regulation, and several tissue-specific genes were identified as potential regulators of seasonal breeding. These findings enhance our understanding of reproductive adaptation in subterranean mammals and offer a foundation for further functional studies. Full article
(This article belongs to the Section Animal Genetics and Genomics)
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14 pages, 621 KB  
Article
Psychometric Validation of the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) in a Greek Cohort of Parents of Hospitalized Neonates
by Maria Tzeli, Maria Alexiou, Antigoni Sarantaki, Giannoula Kyrkou, Dimitrios Charalampopoulos, Sofia Biti, Marina Antoniadi, Aikaterini Fotiou, Anna Daskalaki, Tania Siahanidou, Christina Nanou and Dimitra Metallinou
Healthcare 2025, 13(21), 2750; https://doi.org/10.3390/healthcare13212750 - 30 Oct 2025
Viewed by 52
Abstract
Background/Objectives: The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) is one of the most widely used tools for assessing parental stress in neonatal intensive care settings. This study aimed to translate, culturally adapt and validate the PSS:NICU in a Greek cohort. Methods: [...] Read more.
Background/Objectives: The Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) is one of the most widely used tools for assessing parental stress in neonatal intensive care settings. This study aimed to translate, culturally adapt and validate the PSS:NICU in a Greek cohort. Methods: A multicenter, cross-sectional study was conducted with 150 parents (89 mothers, 61 fathers; mean age = 34.1 years, SD = 7.2) of hospitalized neonates from three Greek NICUs. The translation followed forward–backward procedures, expert review, and pilot testing. Data were analyzed for internal consistency, factorial validity, and group differences. Results: Confirmatory factor analysis supported the adequacy of the original three-factor structure (Sights and Sounds, Infant Behavior and Appearance, and Parental Role Alteration). Cronbach’s alpha and McDonald’s omega coefficients indicated excellent reliability for the total scale and its subscales. Female participants reported higher stress levels than males in most dimensions. Conclusions: The Greek version of the PSS:NICU demonstrated strong psychometric properties and cultural relevance. This adaptation provides a valid and reliable tool for assessing parental stress in Greek NICUs and facilitates cross-cultural comparisons and the development of targeted psychosocial interventions. Full article
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14 pages, 2128 KB  
Article
Effectiveness of Graded Weight-Bearing Exercises on Pain, Function, Proprioception, and Muscle Strength in Individuals with Knee Osteoarthritis: A Randomized Controlled Trial
by Ammar Fadil, Qassim Ibrahim Muaidi, Mohamed Salaheldien Alayat, Moayad S. Subahi, Roaa A. Sroge, Abdulaziz Awali and Mansour Abdullah Alshehri
J. Clin. Med. 2025, 14(21), 7685; https://doi.org/10.3390/jcm14217685 - 29 Oct 2025
Viewed by 182
Abstract
Background/Objectives: Knee osteoarthritis (OA) is a prevalent degenerative joint disorder associated with pain, impaired proprioception, and reduced physical function. While closed kinetic chain exercises (CKCEs) are commonly prescribed to enhance joint stability, their weight-bearing nature may exacerbate symptoms. Graded weight-bearing exercises (GWBEs) using [...] Read more.
Background/Objectives: Knee osteoarthritis (OA) is a prevalent degenerative joint disorder associated with pain, impaired proprioception, and reduced physical function. While closed kinetic chain exercises (CKCEs) are commonly prescribed to enhance joint stability, their weight-bearing nature may exacerbate symptoms. Graded weight-bearing exercises (GWBEs) using anti-gravity treadmill training provide a novel approach to reduce joint loading while maintaining functional mobility. This study aimed to evaluate the effectiveness of GWBEs compared with CKCEs and open kinetic chain exercises (OKCEs) on pain, function, proprioception, and quadricep strength in patients with knee OA. Methods: Forty-five adults aged 40–60 years with radiographically confirmed knee OA were randomized into three groups: (1) GWBE + OKCE, (2) CKCE + OKCE, or (3) OKCE alone. Interventions were conducted three times per week for six-weeks. Outcomes included pain (Visual Analogue Scale), physical function (Western Ontario and McMaster Universities Osteoarthritis Index, 6-Minute Walk Test), proprioception (joint repositioning error at 45°), and quadriceps strength (isokinetic peak torque at 60°, 120°, and 180°/s). Results: All groups demonstrated significant improvements in pain and function (p < 0.05). Proprioception improved in the GWBE + OKCE and CKCE + OKCE groups but not in the OKCE group. No significant changes were observed in quadriceps strength across groups. The GWBE + OKCE group showed significantly greater improvements in pain, function, and proprioception compared to both comparator groups (p < 0.05). Conclusions: GWBE combined with OKCE is more effective than CKCE + OKCE and OKCE alone in improving pain, function, and proprioception in patients with knee OA. Full article
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34 pages, 948 KB  
Review
DNMT Enzymes and Their Impact on Cervical Cancer: A State-of-the-Art Review
by Eric Genaro Salmerón-Bárcenas, Andrea Martínez-Zayas, Miguel Vargas-Mejía, Nicolas Villegas-Sepúlveda, Paola Briseño-Díaz, Arturo Aguilar-Rojas, Christian Johana Baños-Hernández, Francisco Israel Torres-Rojas, Ramón Antaño-Arias and Rosaura Hernández-Rivas
Int. J. Mol. Sci. 2025, 26(21), 10496; https://doi.org/10.3390/ijms262110496 - 29 Oct 2025
Viewed by 94
Abstract
Genomic DNA methylation is an epigenetic modification that primarily occurs at CpG sites and is associated with the transcriptional repression of genes. This process plays a crucial role in maintaining cellular homeostasis and is catalyzed by a family of enzymes known as DNA [...] Read more.
Genomic DNA methylation is an epigenetic modification that primarily occurs at CpG sites and is associated with the transcriptional repression of genes. This process plays a crucial role in maintaining cellular homeostasis and is catalyzed by a family of enzymes known as DNA methyltransferases (DNMTs), which includes DNMT1, DNMT2, DNMT3A, DNMT3B, and DNMT3L. DNMT1 is classified as a maintenance methyltransferase, whereas DNMT3A and DNMT3B are responsible for de novo methylation. Altered expression of DNMTs has been reported in various human diseases, including cancer. Cancer remains a major global health issue, with an estimated 20 million new cases and 9.7 million deaths reported in 2022. Among women, cervical cancer (CC) ranks fourth in both incidence and mortality worldwide, with persistent infection by high-risk human papillomavirus (HR-HPV) being the primary risk factor. Several studies have demonstrated that DNMT expression and activity are upregulated in CC, suggesting their potential as diagnostic and prognostic biomarkers. HR-HPV infection appears to increase DNMT expression, thereby promoting cervical carcinogenesis through aberrant methylation and subsequent silencing of tumor-suppressor genes such as PTEN, PAX1, and TSLC1. Furthermore, DNMTs are being explored as therapeutic targets in CC. In this review, we summarize the current state of the art regarding DNMTs in cervical cancer and discuss their functional roles and potential utility as diagnostic, prognostic, and therapeutic biomarkers. Full article
(This article belongs to the Section Molecular Oncology)
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14 pages, 2853 KB  
Article
The Chromosome 19 microRNA Cluster Facilitates Cancer Stemness in Hepatocellular Carcinoma
by Marian T. Underwood, Varsha Devarapalli, Goodwin G. Jinesh, John H. Lockhart, Marco Napoli, Nino Mtchedlidze, Elsa R. Flores and Andrew S. Brohl
Non-Coding RNA 2025, 11(6), 74; https://doi.org/10.3390/ncrna11060074 - 29 Oct 2025
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Abstract
Background/Objectives: Hepatocellular carcinoma (HCC) is one of the world’s deadliest cancers; however, the mechanisms that contribute to its aggressiveness are poorly understood. In the recent literature, overexpression of the Chromosome 19 MicroRNA Cluster (C19MC) has been associated with an aggressive phenotype and unfavorable [...] Read more.
Background/Objectives: Hepatocellular carcinoma (HCC) is one of the world’s deadliest cancers; however, the mechanisms that contribute to its aggressiveness are poorly understood. In the recent literature, overexpression of the Chromosome 19 MicroRNA Cluster (C19MC) has been associated with an aggressive phenotype and unfavorable prognosis in HCC. However, the molecular consequences of C19MC overexpression in HCC remain poorly understood. Methods: Here, we created a constitutive C19MC-overexpressing HCC model and used two different CRISPR-engineered C19MC-overexpressing HCC models to analyze phenotype and transcriptomic changes. Results: We observed that C19MC overexpression induces cancer stem cell (CSC) phenotypic features in vitro and analyzed transcriptomic changes in genes correlating with stemness, such as NFκB and EMT. Conclusions: C19MC induces changes in HCC that are consistent with stemness and aggression, which provides a better understanding of why C19MC could be a biomarker of poor prognosis. Full article
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